Mr Ricky D Grisson Ii, MD - Medicare Pathology in Providence, RI

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Mr Ricky D Grisson Ii, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Providence, Rhode Island. His current practice location is 117 Ellenfield St Ste 101, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-6779.

Mr Ricky D Grisson Ii is licensed to practice in Rhode Island (license number MD15414) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093910606.

Contact Information

Mr Ricky D Grisson Ii, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541
(401) 444-6779
Not Available

Map and Direction




Physician's Profile

Full NameMr Ricky D Grisson Ii
GenderMale
SpecialityPathology - Clinical Pathology/laboratory Medicine
Location117 Ellenfield St Ste 101, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093910606
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 10/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7911288253
  • Enrollment ID: I20161229000548

Medical Identifiers

Medical identifiers for Mr Ricky D Grisson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093910606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology L-232504 (Massachusetts)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine A121170 (California)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine MD15414 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ricky D Grisson Ii allows following entities to bill medicare on his behalf.
Entity NameNewport Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063632180
PECOS PAC ID: 0042111437
Enrollment ID: O20040422000696
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598978744
PECOS PAC ID: 6901796408
Enrollment ID: O20170303000645

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ricky D Grisson Ii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ricky D Grisson Ii, MD
Massachusetts General Hospital, 55 Fruit Street,
Boston, MA 02114

Ph: (617) 726-2967		Mr Ricky D Grisson Ii, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (401) 444-6779

Reviews and Comments


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Dr. Gladys Telang, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.